DR. BRUCE W JOHNSON (MD) – Family Medicine Physician, NPI 1619954575

DR. BRUCE W JOHNSON (MD) is a healthcare provider. based in Ooltewah, Tennessee. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 28377 (TN). The NPI Number for DR. BRUCE W JOHNSON (MD) is 1619954575

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE W JOHNSON (MD)
NPI
1619954575
Phone
(423) 495-5951
Address
6401 MOUNTAIN VIEW ROAD
Enumeration Date
30 December 2005
Last Update Date
2 June 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4234955951
Graduation Year
1981 (45 years ago)
PAC ID
8527066190
Group Practice PAC ID
8022919570
Professional Enrollment ID
I20061114000281
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRUCE W JOHNSON (MD)

  • Ooltewah High School's Football Field, Mountain View Road, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37363, United States

    SUITE 109

    OOLTEWAH, TN 373636685

    Phone: (423) 495-5951

    Fax: (423) 495-5999

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 114 Open Payments records for all available years, with a total value of $1,907.

Total Amount is formed as General ($1,907) + Research ($0) + Ownership ($0) = $1,907.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($305).

Total Amount

$1,907

General + Research + Ownership

Payments

114

Total payment records

General Amount

$1,907

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061114000281IFamily PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes935262$0
36415Insertion of needle into vein for collection of blood sample518233$0
J1100Injection, dexamethasone sodium phosphate, 1 mg32854$0
J1885Injection, ketorolac tromethamine, per 15 mg19031$0
96372Injection of drug or substance under skin or into muscle16368$0
View full utilization report →

Insurance plans in this area (ZIP 37363)

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Provider's Procedures

DR. BRUCE W JOHNSON (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETN20610Aspiration and/or injection of large joint or joint capsule4033
FAMILY MEDICINETN85610Blood test, clotting time9616
FAMILY MEDICINETN90670Pneumococcal vaccine for injection into muscle4545

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022919570View full group profile
NameSpecialtyState
Nurse PractitionerTN
-KY
Radiation OncologyWV
Internal MedicineTN
Internal MedicineTN
-TN
-TN
Nurse PractitionerTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Is DR. BRUCE W JOHNSON (MD) listed with a National Provider Identifier?
Yes — DR. BRUCE W JOHNSON (MD) has NPI 1619954575 on file in the registry.
Active or inactive — what applies to DR. BRUCE W JOHNSON (MD)?
You should see DR. BRUCE W JOHNSON (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. BRUCE W JOHNSON (MD)?
DR. BRUCE W JOHNSON (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. BRUCE W JOHNSON (MD)?
Travel planning: use Ooltewah, Tennessee as the reference point for DR. BRUCE W JOHNSON (MD), then confirm.
When was this NPI issued?
Enumeration for DR. BRUCE W JOHNSON (MD) is noted as December 30, 2005 where the registry provides it.

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